Complex Regional Pain Syndrome

Overview

4.7 out of 5 (94 Reviews)

Credits

1.50

Post Assessment Questions

11

Start Date

1 Sep 2023

Last Review Date

1 Sep 2023

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes


 
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Activity Description

Complex regional pain syndrome (CRPS) is a neuropathic pain disorder defined by the presence of distinct clinical features, including allodynia, hyperalgesia, sudomotor and vasomotor abnormalities, and trophic changes. The pain experienced is disproportionate to the degree of tissue injury and persists beyond the normal expected time for tissue healing. The pathophysiology is multifactorial and involves pain dysregulation in the sympathetic and central nervous systems, with likely genetic, inflammatory, and psychological contributions. There are two subtypes: type I, formerly known as reflex sympathetic dystrophy, and type II, formerly known as causalgia. Type I occurs in the absence of nerve trauma, while type II occurs in the setting of known nerve trauma. Clinically they are indistinguishable and follow a regional rather than dermatomal or peripheral nerve distribution. CPRS favors the distal extremities, though spread beyond the initially affected area commonly occurs in the proximal or contralateral limb. CRPS is further subdivided into "warm" versus "cold" and sympathetically-maintained versus sympathetically-independent, which may affect prognosis and treatment options. This activity describes the evaluation and management of complex regional pain syndrome and highlights the role of the interprofessional team in improving care for affected patients.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Outline the typical presentation of complex regional pain syndrome.

  • Describe the Budapest Criteria and their role in the diagnosis of complex regional pain syndrome.

  • Review the treatment options for complex regional pain syndrome.

  • Explain how careful planning and discussion amongst interprofessional team members involved in the care of patients with complex regional pain syndrome can help improve patient outcomes.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Orthopaedic Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment Examination requirements of the American Board of Orthopaedic Surgery’s (ABOS) Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

American Board of Pediatrics: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.50 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

good review

NASAR S. on 2/15/2021

sheryl s. on 4/5/2021

Rola h. on 10/30/2021

kathleen k. on 11/11/2021

Suzanne T. on 11/24/2021

Donald A. on 2/8/2022

Edward M. on 3/31/2022

Bhupendra G. on 3/11/2022

Timothy O. on 3/12/2022

Alexei K. on 3/24/2022

Kerrey T. on 6/7/2022

Robert M. on 7/8/2022

AC R. on 7/19/2022

Please consider the topics: what's RN to be asked for deposition, violence management: from patients, co-workers, MDs, CPO/CPE level of contact isolation.

YUKARI N. on 7/30/2022

Cory C. on 8/15/2022

hary a. on 8/21/2022

Peter M. on 8/23/2022

Autumn M. on 8/26/2022

Thanks for offering the CME on CRPS.

Sheryl Z. on 9/12/2022

jalil r. on 10/2/2022

jaime r. on 10/4/2022

Christine G. on 10/8/2022

Michael V. on 10/11/2022

Vishal A. on 11/4/2022

Daniel R. on 11/18/2022

Ketan H. on 11/24/2022

Kimberly R. on 12/1/2022

Vektra C. on 12/26/2022

John P. on 12/30/2022

Diane C. on 1/12/2023

peter h. on 1/12/2023

Anne D. on 1/29/2023

Lesly P. on 2/20/2023

Christina R. on 2/23/2023

The teaching points are very helpful.

Jennifer O. on 2/23/2023

none

Manijeh Z. on 2/24/2023

Dong O. on 2/25/2023

TIMOTHY L. on 3/11/2023

Jess P. on 4/7/2023

Jana M. on 4/17/2023

GABRIEL R. on 4/30/2023

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Fidel H. on 7/29/2023

yakdan q. on 8/13/2023

Amanda R. on 8/21/2023

Pablo G. on 9/10/2023

baher m. on 9/15/2023

LIDIA I. on 9/16/2023

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wasim s. on 10/4/2023

Mahmud M. on 10/14/2023

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Danial K. on 10/27/2023

Elizabeth S. on 10/31/2023

Tonda B. on 12/15/2023

Jerome G. on 12/17/2023

AJAY Y. on 12/27/2023

Scott S. on 12/29/2023

Alejandro F. on 1/29/2024

Tran P. on 3/21/2024

anne F. on 2/6/2024

Shelagh A. on 2/27/2024

THERESA M. on 3/4/2024

federico m. on 4/19/2024

Ashleigh B. on 5/21/2024

Aneesh M. on 5/27/2024

Erica D. on 5/30/2024

Menyoli M. on 6/17/2024

lewena m. on 6/29/2024

Lesly P. on 7/11/2024

Arlene R. on 7/16/2024

Nicole M. on 7/29/2024

ishvar p. on 7/29/2024

nils n. on 8/23/2024

John Y. on 8/31/2024

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